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Page 1: AARP Indiana Legislative Issues Survey: Prescription Drugs · Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat

AARP IndianaLegislative Issues Survey:Prescription Drugs

Published January 2005

Page 2: AARP Indiana Legislative Issues Survey: Prescription Drugs · Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat

AARP Indiana Legislative Issues Survey:

Prescription Drugs

Report Prepared by Susan L. Silberman, Ph.D.

Copyright © 2005 AARP

Knowledge Management 601 E Street NW

Washington, DC 20049 http://research.aarp.org

Reprinting with Permission

Page 3: AARP Indiana Legislative Issues Survey: Prescription Drugs · Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat

AARP is a nonprofit, nonpartisan membership organization that helps people 50+ have independence, choice and control in ways that are beneficial and affordable to them and society as a whole. We produce AARP The Magazine, published bimonthly; AARP Bulletin, our monthly newspaper; AARP Segunda Juventud, our bimonthly magazine in Spanish and English; NRTA Live & Learn, our quarterly newsletter for 50+ educators; and our Web site, www.aarp.org. AARP Foundation is our affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. We have staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Acknowledgements AARP staff from the Indiana State Office, State Affairs, and Knowledge Management contributed to the design and implementation of this study. Special thanks go to AARP staff including Nancy Griffin and June Lyle, Indiana State Office; Cathy McDougall, Mary Wallace, and Clare Hushbeck, State Affairs; Gretchen Straw, Darlene Matthews, Erica Dinger, and Cheryl Barnes, Knowledge Management. Sue Ellsworth of FGI, Inc. managed the data entry and tabulation of the survey results. Susan L. Silberman, AARP Knowledge Management, wrote the report. For more information, contact Susan L. Silberman at (202) 434-6339.

Page 4: AARP Indiana Legislative Issues Survey: Prescription Drugs · Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat

AARP Indiana Legislative Issues Survey: Prescription Drugs 1

Background

The AARP Indiana Legislative Issues Survey explores the attitudes and opinions of 1,246 Indiana members on several consumer and legislative issues. In addition, this survey gauges state legislative priorities of AARP members in Indiana. The Prescription Drug Survey report examines the subset of questions related to prescription drugs usage, annual out-of-pocket prescription drug costs, importance of making prescription drugs more affordable, and familiarity with and importance of the HoosierRx program.1 This report summarizes the weighted overall findings on the topic of prescription drugs covered in the survey. Throughout the report, statistics representing member responses are reported in percentages.2 In some instances, percentages are small and may not seem to represent a significant proportion of members, yet when projected to the total Indiana membership the actual number of people may be substantial. As of December 2004, the approximate number of AARP members in Indiana was 800,000.

Highlights • The top legislative priority of Indiana members is access to affordable prescription drugs

(72%). • More than nine in ten Indiana members say it is very (75%) or somewhat important (18%)

that the State of Indiana make prescription drug costs more affordable. • Almost eight in ten Hoosier State members are very (47%) or somewhat concerned (31%)

about being able to afford the cost of needed prescription drugs over the next two years. • Six in seven members (86%) say it is important that AARP Indiana work to coordinate the

new Medicare prescription drug program with the HoosierRx program. • Five in six Indiana members (83%) say it is important that the State of Indiana continue to

fund the HoosierRx program to help low-income seniors pay for their prescription drugs.

1 A copy of the full questionnaire annotated with responses to all questions is appended to this report. Question 1 focuses on general legislative priorities and questions 2 through 11 address prescription drugs. 2 Percentages may not sum to 100% due to rounding.

Page 5: AARP Indiana Legislative Issues Survey: Prescription Drugs · Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat

AARP Indiana Legislative Issues Survey: Prescription Drugs 2

Findings

Prescription Drugs More than nine in ten members believe it is important that the State of Indiana make prescription drug costs more affordable. More than nine in ten members say it is very (75%) or somewhat important (18%) that the State of Indian make prescription drug costs more affordable.

Importance that State of Indiana Make Prescription Drugs More Affordable (N = 1246)

Not sure/No response

3%

Not very/Not at all

important4%

Somewhat important

18%

Very important75%

Eight in ten Indiana members are concerned about being able to afford the cost of prescription drugs. Indiana members were asked how concerned they were about being able to afford the cost of prescription drugs over the next two years. Nearly half (47%) of members say they are very concerned about affording prescription drugs while 31 percent say they are somewhat concerned. Less than one in five are not very or not at all concerned about affording prescription drugs over the next two years.

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AARP Indiana Legislative Issues Survey: Prescription Drugs 3

Most Indiana members have bought a prescription drug in the past two years and more than half of members say paying for prescription medications has been a problem in the past year. Almost all Indiana members (94%) say they or a family member have bought a prescription drug within the past two years. Only three percent report not buying a prescription medication in the past two years. More than half of members (54%) say paying for a prescription drug has been a problem in the past 12 months. Another four in eleven (44%) say paying for a prescription has not been a problem. Two-thirds of Indiana members have paid $50 per month or more out-of-pocket for prescription drugs in the past 12 months. A majority of members pay $50 or more each month for their prescription drugs. In fact, almost half pay over $100 each month. In contrast, only three percent report not having purchased prescription drugs in the last year.

Indiana Members’ Out-of-Pocket Prescription Drug Costs in the past 12 months (n =1246)

3%

4%

4%

20%

22%

22%

18%

7%

0% 10% 20% 30%

Nothing, not purchased RX

Not sure/No response

$500+

$200 - <$500

$100 - <$200

$50 - <$100

$10 - < $50

<$10

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AARP Indiana Legislative Issues Survey: Prescription Drugs 4

Indiana members have ordered prescriptions by mail or Internet, taken less medication than prescribed, not filled a prescription, and delayed filling a prescription due to the cost of prescription drugs. In the past 12 months, Indiana members have used a variety of strategies to save on the costs of prescription drugs. The most common cost saving strategy has been ordering prescription drugs by mail or the Internet from a firm in the U.S. However, a substantial number of members have taken actions that could compromise their health or well-being: they have taken less medication then prescribed, decided not to fill prescriptions due to drug cost, delayed filling a prescription, or cut back on items such as food, fuel, or electricity.

Cost-Reducing Measures Taken In the last 12 months

(n = 1246)

6%

14%

19%

20%

30%

23%

2%

0% 20% 40%

Traveled to other country

Ordered via mail/Internet in another country

Cut back on food, fuel, electricity

Delayed filling RX

Not filled RX

Taken less than prescribed

Ordered via mail/Internet in U.S.

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AARP Indiana Legislative Issues Survey: Prescription Drugs 5

More than seven in ten Indiana members are not familiar with HoosierRx, the prescription drug program for low-income seniors. The HoosierRx prescription drug program for low-income seniors gives eligible persons a drug card for use at their local pharmacies. With the prescription drug cards, seniors receive 75 percent off the costs of their prescriptions. More than seven in ten members say they are not very familiar (25%) or not at all familiar (48%) with the HoosierRx program.

Familiarity with the HoosierRx Prescription Drug Program for Low-Income Seniors (N = 1246)

Not sure/No response

4%

Not at all familiar48%

Not very familiar25%

Somewhat familiar

17%

Very familiar6%

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AARP Indiana Legislative Issues Survey: Prescription Drugs 6

Five in six Indiana members think it is important that the State of Indiana continues to fund the HoosierRx program. Eighty-three percent of Indiana members think it is very important (56%) or somewhat important (27%) that the State of Indiana continues to fund the HoosierRx program to help low-income seniors pay for their prescription drugs.

Importance that Indiana Continue Funding the HoosierRx Program (N = 1246)

Not sure/No response

10%

Not very/Not at all important

7%

Somewhat important

27%Very important56%

Six in seven Indiana members think it is important that AARP Indiana works to coordinate the new Medicare prescription drug program with the HoosierRx program.

Over eight in ten members think it is very important (62%) or somewhat important (24%) that AARP Indiana works to coordinate the new Medicare prescription drug program with the HoosierRx program. Coordination will allow people who are entitled to receive the full Medicare benefits to also receive any additional benefits available through Indiana’s HoosierRx program. Only six percent of Indiana member say it is not very (4%) or not at all important (2%) for AARP Indiana to work to coordinate between the two programs.

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AARP Indiana Legislative Issues Survey: Prescription Drugs 7

Importance of AARP Indiana Coordinating the New Medicare Prescription Drug

Program with the HoosierRx Program* (N = 1246)

Very important62%

Not sure/No response

9%

Somewhat important

24%

Not very/Not at all important

6%

*Percentages may not add up to 100 due to rounding. Over nine in ten Indiana members think it is important that AARP Indiana work to pass legislation to allow the state to negotiate lower drug prices for Hoosier State citizens. Some states, such as Maine and Hawaii, have passed legislation that allow state government to use its buying power to negotiate lower drug prices and rebates from drug manufacturers and pass the savings along to customers. Ninety-two percent of Indiana members think it is very important (73%) or somewhat important (19%) that AARP Indiana works to pass similar legislation in the Hoosier State. Only four percent think it is not very (2%) or not at all important (1%), while another five percent are not sure (3%) or gave no response (2%). Legislative Priorities Members list access to affordable prescription drugs as their top priority for AARP Indiana.

Members were asked to indicate how much of a priority it should be for AARP Indiana to work on various legislative issues. Members were given a list of 14 different issues. Almost three-quarters (72%) of members say that access to affordable prescription drugs should be a top priority for AARP Indiana. More than half (54%) say preventing elder abuse should be a top legislative priority. At least three in seven members believe improving the quality of nursing homes in Indiana (49%), enabling older persons to remain in their own homes or communities as they age (48%), and consumer protection against fraud (48%) should be top legislative priorities for AARP Indiana.

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AARP Indiana Legislative Issues Survey: Prescription Drugs 8

Top and High Priority Legislative Issues for Indiana Members (N=1246)

25%

24%

21%

30%

32%

30%

31%

40%

48%

42%

54%

48%

49%

72%

24%

36%

39%

37%

35%

39%

45%

37%

31%

40%

29%

35%

37%

20%

0% 20% 40% 60% 80% 100%

Regulating check cashingoutlets

Transportation options forelderly

Grandparent caregiverrights

Access affordable housing

Regulate mort lenders toprevent abuse

Defining min stds forassisted living

Protection for olderworkers

Affordable utilities

Consumer fraud protection

Expanding HCBS

Preventing elder abuse

Enabling older persons toage in own homes

Improving the quality of INnursing homes

Affordable RX

Top priority High priority

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AARP Indiana Legislative Issues Survey: Prescription Drugs 9

Demographic Characteristics

(N = 1246)

1%

3%

95%

1%

14%

22%

60%

23%

32%

41%

40%

51%

29%

37%

25%

47%

49%

25%

40%

27%

0% 20% 40% 60% 80% 100%

Native American/Alaskan Native

Black/African American

White

Race______________

Hispanic___________

Other

Widowed

Married

Marital status_______

College grad+

Some college

High school or less

Education__________

Employed

Retired

Employment________

50K+

$20K-$50K

<$20K

Income____________

Male

Female

Gender____________

75+

60-74

50-59

Age_______________

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AARP Indiana Legislative Issues Survey: Prescription Drugs 10

Conclusions

Indiana members think it is important for the State to make prescription drugs more affordable. They are concerned about the cost of needed prescription drugs over the next two years. Almost all members have bought a prescription drug in the past two years. More than half of Indiana members report paying for prescriptions as a major or minor problem in the past 12 months. Two thirds of members paid $50 or more per month in out-of-pocket expenses for prescription drugs during the past year. At least one in five members have ordered prescription drugs by mail or Internet from a U.S. based company, have taken less medication than prescribed by a doctor as a way to make the prescription last longer, decided not to fill a prescription due to drug cost, or delayed getting a prescription filled because they did not have enough money to pay for it. Three-quarters of Indiana members are not familiar with the HoosierRX program, Indiana’s prescription drug program for low-income seniors. Nonetheless, when they hear a description of the program, more than eight in ten members think it is important to fund the HoosierRx program to help low-income seniors pay for their prescription drugs. Six in seven members think it is important that AARP Indiana work to coordinate the new Medicare prescription drug program with HoosierRx program. Over nine in ten members believe it is very important the AARP Indiana work to pass legislation that allows state government to use its buying power to negotiate lower drug prices and rebates from drug manufacturers and pass the saving along to Hoosier State citizens. Indiana members’ legislative priorities are consistent with AARP’s strategic priorities in Indiana. In particular, members believe AARP should focus its legislative efforts on access to affordable prescription drugs.

Methodology

AARP conducted the 2004 AARP Indiana Legislative Issues Survey during September and October 2004. A sample of 2,000 AARP members in Indiana, proportionally stratified by three age segments, 50 to 59, 60 to 74, and 75+, was selected from AARP’s membership database. Each sampled member was contacted about the survey in four ways: a pre-notification postcard, the survey itself, a reminder postcard, and a second survey. Sixty-two percent of the sampled Indiana members returned surveys by the cut-off date, providing 1,246 useable surveys for analysis. Thus, the survey has a sampling error of plus or minus 2.78 percent.3 Survey responses were weighted to reflect the distribution of the age segments in the member population of Indiana. As of December 2004, the approximate number of AARP members in Indiana was 800,000.

3 This means that in 95 out of 100 samples of this size, the results obtained in the sample would fall in a range of 2.78 percentage points of what would have been obtained if every AARP member in Indiana age 50 or older had been surveyed.

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AARP Indiana Legislative Issues Survey: Prescription Drugs 11

Annotated Questionnaire

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AARP Indiana Legislative Issues Survey: Prescription Drugs 12

AARP Indiana Legislative Issues: Prescription Drugs Survey

AARP Members n = 1246; Response Rate = 62%; Sampling Error = +/-2.78%) (Percentages may not add to 100% due to rounding or multiple response.)

State Legislative Issues 1). To be effective, AARP Indiana wants to work on the most important issues facing

Indiana AARP members. Keeping in mind what is most important to you, how much of a priority should it be for AARP to work on the following legislative issues in Indiana? Please check the box that best represents your opinion.

Top Priority

High Priority

Medium Priority

Low Priority

Not a Priority

Not Sure

No Response

a. Enabling grandparents who are caring for grandchildren to obtain the necessary financial, medical, educational, and legal services for these children

21% 39% 22% 6% 7% 2% 3%

b. Protections for older workers 31% 45% 17% 3% 2% 1% 2%

c. Increasing transportation options for the elderly and disabled

24% 36% 29% 6% 2% 1% 2%

d. Defining minimum standards for a facility calling itself assisted living

30% 39% 22% 4% 1% 2% 1%

e. Consumer protection against fraud 48% 31% 15% 3% 1% <1% 2%

f. Preventing elder abuse 54% 29% 12% 3% 1% 1% 2%

g. Access to affordable utility services and rates

40% 37% 18% 3% 1% 1% 1%

h. Regulation of mortgage lenders to prevent abusive practices

32% 35% 21% 6% 4% 1% 2%

i. Access to affordable housing 30% 37% 24% 5% 3% 1% 2%

j. Regulating the fees charged by check-cashing outlets and pay day lenders

25% 24% 24% 13% 10% 3% 2%

k. Access to affordable prescription drugs

72% 20% 6% 1% 1% 1% 1%

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AARP Indiana Legislative Issues Survey: Prescription Drugs 13

1). (CONTINUED) To be effective, AARP Indiana wants to work on the most important issues facing Indiana AARP members. Keeping in mind what is most important to you, how much of a priority should it be for AARP to work on the following legislative issues in Indiana? Please check the box that best represents your opinion.

Top Priority

High Priority

Medium Priority

Low Priority

Not a Priority

Not Sure

No Response

l. Enabling older persons to remain in their own homes or communities as they age

48% 35% 12% 2% 1% <1% 2%

m. Improving the quality of nursing homes in Indiana

49% 37% 10% 1% 1% 1% 3%

n. Expanding access to home and community-based long-term care services

42% 40% 13% 1% 1% 1% 3%

Prescription Drug

2). Have you or a family member bought a prescription drug within the past two years?

94% Yes 3% No <1% Not sure 2% No Response 3). In the past 12 months, has paying for prescription medications been a major problem, a minor problem, or not a problem for you?

% 22 A major problem 32 A minor problem 44 Not a problem 3 No Response

4). In the past 12 months, approximately how much have you spent, each month, out of

your own pocket for prescription drugs?

% 7 Less than $10 per month 18 $10 but less than $50 per month 22 $50 but less than $100 per month 22 $100 but less than $200 per month 20 $200 but less than $500 per month 4 $500 or more per month 3 Nothing, have not purchased prescription drugs 2 Not sure 3 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 14

5). How concerned are you about being able to afford the cost of needed prescription drugs

over the next two years?

% 47 Very concerned 31 Somewhat concerned 13 Not very concerned 5 Not at all concerned 2 Not sure 2 No Response

6). Many people face difficult decisions when buying prescription drugs. In the past 12

months, have you or family member done any of the following?

In the past 12 months, have you or a family member… Yes No Not Sure

No Response

a. Delayed getting a prescription filled because you didn’t have

enough money to pay for it? 19% 76% 2% 4%

b. Taken less medicine than your doctor prescribed to make it last longer?

23% 73% 2% 3%

c. Cut back on items such as food, fuel, or electricity to be able to afford a prescription drug?

14% 80% 2% 4%

d. Ordered your prescription drugs by mail or Internet from a company in the U.S. because they cost less?

30% 66% 1% 3%

e. Ordered your prescription drugs by mail or Internet from a company in another country because they cost less?

6% 90% 1% 3%

f. Decided not to fill a prescription because of the cost of the drug? 20% 75%

1% 3%

g. Traveled to Mexico, Canada, or another country to purchase prescription drugs because they cost less?

2% 94% 1% 3%

7). How important is it to you that the State of Indiana makes prescription drug costs more

affordable?

% 75 Very important 18 Somewhat important 3 Not very important 1 Not at all important 1 Not sure 2 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 15

8). How familiar are you with Indiana’s HoosierRx program? HoosierRx is Indiana’s prescription drug program for low-income seniors. Eligible seniors receive a HoosierRx drug card for use at their local pharmacies; with the drug card eligible seniors receive 75% off the cost of their prescription medications.

% 6 Very familiar 17 Somewhat familiar 25 Not very familiar 48 Not at all familiar 2 Not sure 2 No Response

9). How important is it to you that the State of Indiana continues to fund the HoosierRx

program to help low-income seniors pay for their prescription drugs?

% 56 Very important 27 Somewhat important 5 Not very important 2 Not at all important 8 Not sure 2 No Response

10). The U.S. Congress recently passed Medicare prescription drug legislation that will help

some Indiana seniors pay for their prescription drugs.

How important is it to you that AARP Indiana works to coordinate the new Medicare prescription drug program with the HoosierRx program? This coordination will allow people to receive the full Medicare benefits they are entitled to plus any additional benefits available through Indiana’s HoosierRx program.

% 62 Very important 24 Somewhat important 4 Not very important 2 Not at all important 6 Not sure 2 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 16

11). Other states, such as Maine and Hawaii, have passed legislation that allows state

government to use its buying power to negotiate lower drug prices and rebates from drug manufacturers and pass the savings along to customers.

How important is it to you that AARP Indiana work to pass similar legislation in Indiana to allow the state to negotiate lower drug prices for Hoosier State citizens?

% 73 Very important 19 Somewhat important 2 Not very important 1 Not at all important 3 Not sure 2 No Response

Long-Term Care and Home and Community Based Services Long-term care refers to care provided over an extended period of time at home, in a community setting, or in a nursing home. People of all ages who are frail, ill, or disabled who need assistance with regular daily activities, such as getting dressed, bathing, preparing meals, or eating may receive long-term care services. Home and community-based services refers to long-term services and supports provided in individuals’ homes or in home-like environments such as supportive housing.

12). Have you or any member of your family -- such as grandparents, parents, children, or a sister or brother -- used long-term care services within the last five years?

28% Yes 65% No 4% Don’t know 2% No Response

13). Do you have a family member or a friend who currently lives in a nursing home but would return to his or her home/community if home care and support services were available?

% %

65

10

No, I do not have a family member or friend who currently lives in a nursing home No, I have a family member or friend who currently lives in a nursing home, but would not return home, even with home care and support services in his or her home/community

13 7 5

Yes, I have a family member or friend who currently lives in a nursing home and would return home if home care and support services were available in his or her home/community Don’t know No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 17

14). What is the likelihood that you, a family member, or a friend may need long-term

care services in the next five years?

% 24 Very likely 37 Somewhat likely 18 Not very likely 4 Not at all likely 15 Don’t know 2 No Response

15). Some people age 50 and older express worry about being able to afford long-term

care services for themselves and their family. How worried are you about it?

% 33 Very worried 43 Somewhat worried 15 Not very worried 4 Not at all worried 3 Not sure 2 No Response

16). Some people age 50 and older express worry about not having enough choices regarding the type of long-term care services available for themselves and their family. How worried are you about it?

% 26 Very worried 44 Somewhat worried 19 Not very worried 4 Not at all worried 4 Not sure 2 No Response

17). There are several long-term care options available for people who are disabled, ill, or elderly. If you or a family member needed long-term care services, how would you prefer to receive that service? Would you prefer to

% 9 Have family and friends provide all the care at home 45 Be able to pay a nurse or a personal care aide to provide care at home 24 Have care provided in a residential facility, such as a care home or assisted

living facility where housing, food, and personal care such as help with bathing and dressing are provided for those who live there

3 Have care provided in a nursing home 15 Not sure 4 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 18

18). If you or any member of your family needed long-term care services, how important would it be to you to have services that would enable you or your family member to stay at home as long as possible?

% 74 Very important 20 Somewhat important 2 Not very important <1 Not at all important 2 Not sure 2 No Response

19). Adult foster care is a supportive housing setting that provides a family living environment and generally offers services to a small number of residents who live in a home renovated for group living. Indiana currently does not offer significant funding for adult foster care housing. How important do you think it is for Indiana to increase funding to offer adult foster care housing for the disabled, ill, and elderly?

% 31 Very important 41 Somewhat important 12 Not very important 3 Not at all important 10 Not sure 2 No Response

20). Adult day care provides a caring, home-like setting for individuals who, for their own

safety and well-being, can no longer be left at home alone. Adult day care centers are usually open five days a week during business hours and include a mixture of health, social and support services. Specialized programs for individuals with Alzheimer's disease or related disorders also exist. Indiana currently does not offer significant funding for adult day care. How important do you think it is for Indiana to increase funding to offer adult day care for the disabled, ill, and elderly?

% 47 Very important 38 Somewhat important 6 Not very important 1 Not at all important 5 Not sure 2 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 19

21). Assisted living is a residential setting that provides or coordinates personal care services, activities, and health related services with the goals of maximizing resident privacy, autonomy, and dignity and minimizing the need for residents to move when their needs change. Indiana currently does not have significant funding for assisted living. How important do you think it is for Indiana to increase funding to offer assisted living for the disabled, ill, and elderly?

% 52 Very important 37 Somewhat important 4 Not very important 1 Not at all important 4 Not sure 2 No Response

In 2003, the Indiana State Legislature passed a law to reform and rebalance Indiana’s long-term care spending toward home and community-based care. It would enable many older adult nursing home residents to return to their homes or communities, while saving the state money. To date, the new law has not yet been implemented.

22). How important do you think it is for Indiana to implement the long-term care system reforms passed into law?

% 61 Very important 28 Somewhat important 2 Not very important <1 Not at all important 7 Not sure 2 No Response

23). How strongly would you support or oppose the state of Indiana increasing funding for home and community-based care services (such as in-home health care or adult day care) that allow people to remain in their own home as they age instead of going to a nursing home, even if it meant an increase in your taxes?

% 40 Strongly support 39 Somewhat support 7 Somewhat oppose 4 Strongly oppose 8 Not sure 3 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 20

24). If a candidate for state office in Indiana supported maintaining or expanding the delivery of home and community-based health and long-term care services even if it means raising state taxes, would you be more likely to vote for that candidate, less likely to vote for him or her, or would it not make any difference?

% 38 More likely 14 Less likely 26 Would not make a difference 18 Not sure 4 No Response

State Budget

Indiana is facing difficult economic choices in the coming months as the governor and state legislators try to balance the state budget. There are a number of approaches to balancing the budget: cutting current services, increasing state tax revenues, or combining both cuts in services and increases in tax revenues.

25). To balance the state budget, would you support or oppose….

Strongly

Support Cuts

Somewhat Support

Cuts

Somewhat Oppose

Cuts

Strongly Oppose

Cuts

Not Sure

No Response

a. Cuts to health and long-term care services for children, older persons, and people with disabilities

2% 7% 27% 53% 7% 5%

b. Cuts to education including K-12 and higher education

5% 12% 25% 47% 6% 5%

c.

Cuts to highway and road maintenance and construction

5% 24% 38% 20% 7% 5%

d. Cuts to public safety, courts, and jails 5% 20% 36% 28% 7% 4%

e. Cuts to municipalities and counties that pay for fire and police protection, senior centers, and parks and recreation.

2% 17% 36% 35% 6% 4%

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AARP Indiana Legislative Issues Survey: Prescription Drugs 21

26). Another approach to balance the state budget is to look for new ways to raise revenue. To balance Indiana’s state budget, would you support or oppose….

Strongly

SupportSomewhat Support

Somewhat Oppose

Strongly Oppose

Not Sure

No Response

a. Increasing corporate taxes. Currently corporate income taxes make up 6% of Indiana’s total income tax revenue

35% 33% 12% 7% 8% 6%

b. Closing tax loopholes and exemptions 60% 21% 5% 2% 7% 5%

c. Creating a new tax on the sale of homes that are valued over $150,000. Currently, 19% of homes in Indiana sell for more than $150,000

19% 27% 20% 20% 7% 7%

d. Increasing the tax on beer, wine, & liquor 57% 23% 7% 6% 2% 6% e. Increasing fees for vehicle registration and

certificates of marriage, birth, death, etc. 8% 24% 31% 29% 4% 5%

f. Adding a temporary surcharge on the income tax for higher income households. This temporary tax on income would only apply to those households with annual incomes of $200,000 or more, so it would apply to less than 2% of Indiana households

47% 27% 8% 8% 5% 5%

g. Increasing the sales tax rate on most items except for food, prescription drugs, and over-the-counter medications

15% 34% 19% 25% 4% 4%

h. Imposing sales tax on entertainment such as movies and concerts and personal care services such as dry cleaners and beauty salons

18% 37% 20% 17% 4% 4%

i. Increasing the tax on gasoline 2% 8% 24% 59% 2% 4%

j. Creating a graduated and progressive income tax in Indiana so higher-income households pay taxes at a higher rate than lower-income households

33% 32% 13% 10% 7% 4%

k. Increasing the cigarette tax. Indiana’s cigarette tax is currently $.55 per pack; it is the 29th highest in the nation

52% 20% 9% 11% 4% 4%

l. Imposing a sales tax rate on services from professionals such as lawyers, accountants, and insurance agents

11% 17% 28% 29% 11% 4%

m. Instituting a surcharge on the sale of soft drinks and other beverages that do not have nutritional content

18% 27% 23% 23% 6% 4%

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AARP Indiana Legislative Issues Survey: Prescription Drugs 22

Predatory Mortgage Lending Predatory mortgage lending is the phrase used for loans with terms and conditions that are disadvantageous to the loan recipient. Frequently, these loans target people with bad credit or other financial issues that make it difficult for them to obtain more conventional mortgages. Older and more vulnerable individuals are often the focus of predatory mortgage lending. According to the Center for Responsible Lending, predatory mortgage lending is estimated to cost Indiana home buyers $150 million each year. 27). In 2004 the Indiana State Legislature passed a law to protect residents from

predatory mortgage lending. The law will go into effect in 2005. How important is it that AARP Indiana work with the State Attorney General’s office to see the law is fully implemented?

% 63 Very important 20 Somewhat important 5 Not too important 2 Not at all important 5 Not sure 4 No Response

28). The new law passed by the Indiana State Legislature gives the Attorney General’s Office the power to fine predatory mortgage lenders up to $10,000 each time they violate the law. Do you support or oppose the state of Indiana increasing fines for lenders that violate the State’s predatory mortgage lending laws?

% 71 Strongly support 17 Somewhat support 3 Somewhat oppose 1 Strongly oppose 5 Not sure 4 No Response

29). The new law passed by the Indiana State Legislature provides funding for programs to educate home buyers about how to protect themselves from predatory loans. How important is it to you that the State of Indiana educates home buyers about how to protect themselves from predatory loans?

% 49 Very important 32 Somewhat important 9 Not too important 3 Not at all important 3 Not sure 4 No Response

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About You

The following questions are for classification purposes only and will be kept entirely confidential. D1. In the last 12 months, have you accessed the Internet from your home or work, or from

some other source such as your local library? (Check all that apply)

% 52 Yes, from home 18 Yes, from work 8 Yes, from some other source 39 No 4 No Response

D2. Are you male or female?

47% Male 49% Female 3% No Response D3. What is your age as of your last birthday? ________ (in years)

% 27 50-59 40 60-74 25 75+ 8 No Response

D4. What is your current marital status?

% 60 Married 22 Widowed 11 Divorced <1 Separated 3 Never married 3 No Response

D5. Thinking about your state elections for Indiana Governor and Legislators in the last ten years, which of the following best describes your voting behavior?

% 67 Always vote 19 Sometimes miss one 6 Rarely vote 4 Never vote 1 Not sure 4 No Response

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AARP Indiana Legislative Issues Survey: Prescription Drugs 24

D6. What is the highest level of education that you completed?

% 6 Less than high school 35 High school graduate or equivalent 32 Some college or technical training beyond high school 10 College graduate (4 years) 13 Post-graduate or professional degree 5 No Response

D7. Which of the following best describes your current employment status?

% 29 Employed or self-employed full-time 11 Employed or self-employed part-time 51 Retired and not working 5 Other such as homemaker 1 Unemployed and looking for work 3 No Response

D8. Are you of Hispanic, Spanish, or Latino origin or descent?

1% Yes 93% No 2% Not sure 5% No Response D9. What is your race?

% 95 White or Caucasian 3 Black or African American

<1 Asian 1 Native American or Alaskan Native 0 Hawaiian or Pacific Islander <1 Other 2 No Response

D10. What is your 5-digit zip code? (WRITE IN YOUR ZIP CODE.) __ __ __ __ __

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D11. What was your annual household income before taxes in 2003?

% 7 Less than $10,000 19 $10,000 to $19,999 16 $20,000 to $29,999 11 $30,000 to $39,999 9 $40,000 to $49,999 16 $50,000 to $74,999 13 $75,000 or more 9 No Response

Thank you for completing this survey. Please use the postage-paid envelope and return it to State Member Research, AARP, 601 E Street, NW, Washington, DC 20049,

by October 29, 2004.

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AARP Knowledge Management

For more information contact Susan L. Silberman, Ph.D. (202) 434-6339